Organization · Type 2 NPI

Wasatch Payroll LLC

Dental Clinic/Center · Colorado Springs, CO

NPI number 1629519723 Active

Practice location

3100 N Academy Blvd, 107
Colorado Springs, CO 80917-5321

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	00202298 (CO)

Dental Clinic/Center: Definition to come...

8 other providers at this address

Affiliates In Oral & Maxillofacial Surgery,p.c.Oral and Maxillofacial Surgery (Dentist) Colorado Springs, CO NPI 1447384532
Colorado Springs Oral and Facial SurgeryOral and Maxillofacial Surgery (Dentist) Colorado Springs, CO NPI 1659755338
Ronald J Charity DMD PCGeneral Practice Dentistry Colorado Springs, CO NPI 1841339819
Dale L. Alto, DDSDentist Colorado Springs, CO NPI 1528261682
James Edward Berwick, DDSOral and Maxillofacial Surgery (Dentist) Colorado Springs, CO NPI 1932250529
Jerrico GrimardFamily Nurse Practitioner Colorado Springs, CO NPI 1316378797
John E. Augspurger, DDSDentist Colorado Springs, CO NPI 1629317979
Maria SmithAdult Health Nurse Practitioner Colorado Springs, CO NPI 1053655613

Other dental clinic/center providers in Colorado Springs

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NPI record

NPI: 1629519723
Entity type: Organization (Type 2)
Issued: Mar 9, 2017
Last updated: Mar 9, 2017
Status: Active
Subpart: Yes of Wasatch Payroll LLC

Other names

<unavail>
Four Seasons Dental Care N · doing business as

Authorized official

Mrs. Michelle Lynn Olson
Practice Manager
(719) 375-1358

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629519723

Wasatch Payroll LLC's National Provider Identifier is 1629519723, issued on Mar 9, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Colorado Springs, CO. The record was last updated on Mar 9, 2017.